MAHONEY FAMILY DENTAL
NPI 1730853771
Clinic/Center - Dental in Clinton, MO

Active since August 03, 2021
906 E OHIO ST, CLINTON, MO 64735(417) 438-5924 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About MAHONEY FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Mahoney Family Dental, a provider established in Clinton, Missouri operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1730853771 assigned on August 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Mahoney Family Dental. The authorized official of this NPI record is Dr. Samantha L Mahoney Dds (Dentist)

NPI
1730853771 Verify this NPI
Provider Legal Name
SAMANTHA THOMAS DDS LLC
Other Organization Name
MAHONEY FAMILY DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
906 E OHIO ST CLINTON, MO 64735
Location Phone
(417) 438-5924
Mailing Address
1306 N VANSANT RD CLINTON, MO 64735
Mailing Phone
(417) 438-5924
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2021
Last Update Date
03-23-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SAMANTHA L MAHONEY DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(417) 438-5924

Reviews for MAHONEY FAMILY DENTAL

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
906 E OHIO ST
CLINTON, MO 64735
Clinic/Center (Dental)
906 E OHIO ST
CLINTON, MO 64735
Clinic/Center (Dental)
906 E OHIO ST
CLINTON, MO 64735

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730853771, enumerated as an "organization" on August 03, 2021.

The provider is located at 906 E OHIO ST CLINTON, MO 64735 and the phone number is (417) 438-5924.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.